Imperforated hymen, a rare cause of acute urinary retention: a case report


  • Aditya Abhishek Jha Department of Urology, Military Hospital, Secunderabad, Telangana, India
  • Arunabha Saha Department of Gynaecology, Military Hospital, Secunderabad, Telangana, India



Imperforate hymen, Haematocolpos, Urinary retention


A 12-year-old pre-menarchal girl presented to our emergency department with acute urinary retention for last eight hours. She admitted having difficulty in micturition for last one month. She denied any other significant past medical or surgical history. During per urethral catheterization a non-tender lump which used to increase on Valsalva manoeuvre was noted in the perineum. Abdominal ultrasonography and magnetic resonance imaging (MRI) showed a large haematocolpos compressing the urethra. She underwent hymenotomy with evacuation of collected menstrual blood. Post procedure recovery was uneventful and she was able to pass urine with normal stream subsequently.


Agarwal BK, Agarwal N. Acute urinary retention in children. Int Surg J. 2017;4(5):1610-3.

Basaran M, Usal D, Aydemir C. Hymen sparing surgery for imperforate hymen: case reports and review of literature. J Pediatr Adolesc Gynecol. 2009;22:61-4.

Lausten-Thomsen MJ, Mogensen H. Hymen imperforatus with atypical symptom presentation. Ugeskr Laeger. 2007;169:523-4.

Sakalkale R, Samarakkody U. Familial occurrence of imperforate hymen. J Pediatr Adolesc Gynecol. 2005;18:427-9.

Ramareddy RS, Kumar A, Alladi A. Imperforate Hymen: Varied Presentation, New Associations, and Management. J Indian Assoc Pediatr Surg. 2017;22(4):207-10.

Mou JW, Tang PM, Chan KW, Tam YH, Lee KH. Imperforate hymen: cause of lower abdominal pain in teenage girls. Singapore Med J. 2009;50:378-9.

Acién P, Acién MI. The history of female genital tract malformation classifications and proposal of an updated system. Hum Reprod Update. 2011;17:693-705.

Hamed ST, Rahman RWA, Desouky WR. An integrated imaging approach for diagnosis of cervico-vaginal outflow defects and associated genital anomalies. Egypt J Radiol Nucl Med. 2015;46:1249-6.

Chang JW, Yang LY, Wang HH, Wang JK, Tiu CM. Acute urinary retention as the presentation of imperforate hymen. J Chin Med Assoc. 2007;70:559-61.

Temizkan O, Kucur SK, Agar S, Gözükara I, Akyol A, Davas I. Virginity sparing surgery for imperforate hymen: Report of two cases and review of literature. J Turk Ger Gynecol Assoc. 2012;13:278-80.






Case Reports